| Main Street Dental Associates | |
|
1306 N Main St Miami OK 74354-3325 | |
| (918) 542-2858 | |
| Not Available |
| Full Name | Main Street Dental Associates |
|---|---|
| Speciality | Dentist |
| Location | 1306 N Main St, Miami, Oklahoma |
| Authorized Official Name and Position | Thomas B Jourdan (DENTIST) |
| Authorized Official Contact | 9182566831 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Main Street Dental Associates 1306 N Main St Miami OK 74354-3325 Ph: () - | Main Street Dental Associates 1306 N Main St Miami OK 74354-3325 Ph: (918) 542-2858 |
| NPI Number | 1881860211 |
|---|---|
| Provider Enumeration Date | 05/06/2008 |
| Last Update Date | 05/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881860211 | NPI | - | NPPES |
| 263477085001 | Other | OK | BLUE CROSS BLUE SHIELD |
| OK5381 | Other | OK | DELTA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5381 (Oklahoma) | Primary |
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